ASSESSMENT PROGRAM/ WrAP/WPP WRITING WRITING PRACTICE PROGRAM 2011–2012 ORDER FORM Independent School Public School Only ERB members may purchase test materials. Check One: ERB Member #: Test Date: Purchase Order #: Test Materials Needed by: SHIP TO BILL TO (if different) Contact Person: Contact Person: School: School: Street Address: Street Address: City: City: State: ZIP: mm / dd / State: yyyy ZIP: Daytime Phone: Daytime Phone: Email: Email: Fax Number: For WrAP testing, please indicate quantities below: Test Level Options Quantity Per Grade Elementary Level Grade 3 Cost Per Student $9.50 WrAP Online Only $9.50 WPP Only $10.00 WrAP & WPP Combo $15.00* WrAP Online & WPP Combo $15.00* Grade 5 Grade 6 WrAP Only $9.50 WrAP Online Only $9.50 WPP Only $10.00 WrAP & WPP Combo $15.00* WrAP Online & WPP Combo $15.00* Middle Level Grade 7 Grade 8 WrAP Only WrAP Online Only Grade/class header sheets School/district header sheets Grade 4 WrAP Only Intermediate Level Total* (excludes shipping) (materials & scoring) Sets of scoring submission forms You will need 1 set of submission documents for each separate shipment of tests sent for scoring. WPP Contact Information (if different from WrAP contact) If you are signing up for the WPP, a representative will contact you via email to set up your account. Contact Person: School: School District: $9.50 Street Address: $9.50 City: State: ERB Member #: WPP Only $10.00 WrAP & WPP Combo $15.00* Daytime Phone: $15.00* Email (Req. for WPP): WrAP Online & WPP Combo Secondary Level Grade 9 Grade 10 WrAP Only $9.50 WrAP Online Only $9.50 WPP Only $10.00 WrAP & WPP Combo $15.00* WrAP Online & WPP Combo College Preparatory $15.00* Grade 11 Grade 12 WrAP Only WrAP Online Only $9.50 $9.50 WPP Only $10.00 WrAP & WPP Combo $15.00* WrAP Online & WPP Combo $15.00* Total * Cost is $16.00 if WrAP & WPP are not ordered at the same time. 2011–2012 Educational Records Bureau ZIP: Please do not enclose payment with this order. You will be billed separately by ERB. Allow 3 weeks for processing and delivery of test materials. Mail orders to: WrAP Operations Office 423 Morris Street Durham, NC 27701 Tel: (800) 669-3938 Fax: (919) 425-7727 Mail payments to: ERB 220 East 42nd Street, Suite100 New York, NY 10017 Tel: (800) 989-3721 Fax: (212) 370-4096 NOTE: Special processing fees may apply if handling is expedited or test materials are received incorrectly from the school. WrAP WRITING ASSESSMENT PROGRAM 2011–2012 ORDER FORM: ADDITIONAL SERVICES Item Description Number Cost Per Item Additional Self-Stick Labels $.25 per student Individual Student Report $1.05 per student Rank Order List: (Check One) Class School $.30 per student Alphabetized List by: (Check One) Grade School CD CD: Send Directly to DataMetrics $.25 per student TestWiz Data File*: (Check One) Grade $55.00 per CD PDF Version of Reports on CD $55.00 per CD Additional Set of Anchor Papers $12.00 per set ERB Rubric for Student’s Notebooks Grades 3-12 $30.00 / pkg of 25 Technical Manual $15.00 per copy Norms Tables $12.00 per set Perusal Sets $13.00 per level Rubric Posters (14” x 20” laminated sheet for each trait in WrAP Rubric) $30.00 per set of 6 traits $115.00 for 5 complete sets Rerun Summary Report (to add or remove non-standard scores) $.20 per student Report Reprint Fee $55.00 Total *A TestWiz CD contains 2 separate files: 1) file formatted for TestWiz software and 2) a .CSV file for general import use in applications such as Excel or other program. NOTE: Special processing fees may apply if handling is expedited or test materials are received incorrectly from the school. Every school receives the following reports/items with their test results: School summary reports by grade level Class summary reports Alphabetized class rosters 2 sets of self-stick labels 1 set of norms tables on CD 1 CD containing all 5 anchor sets SHIP TO Contact Person: School: Street Address: City: State: ZIP: Daytime Phone: ERB Member #: Mail orders to: WrAP Operations Office 423 Morris Street Durham, NC 27701 E-mail orders to: wrapwpporder@erblearn.org Fax orders to: (919) 425-7727 2011–2012 Educational Records Bureau Total